Organization
DENNIS LEE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS LEE MD (PRESIDENT)
(309) 662-4411
Entity
Organization
Contact information
Practice address
107 N REGENCY DR, BLOOMINGTON, IL 61701-3515
(309) 662-4411
Mailing address
15 STONEY CT, BLOOMINGTON, IL 61704-2743
(309) 662-5066
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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